[Influencia de la pandemia de la COVID-19 en la distribución de la bronquiolitis aguda en España.] / Influencia de la pandemia de la COVID-19 en la distribución de la bronquiolitis aguda en España.

OBJECTIVE: Bronchiolitis is the leading cause of hospitalization in children under one year of age, with annual epidemics. Since the onset of the SARS-CoV-2 coronavirus disease pandemic (COVID-19), there has been a change in the transmission of other respiratory viruses. Our aim in this paper was to describe how COVID-19 had affected the distribution of acute bronchiolitis in our country. METHODS: We conducted a retrospective descriptive study of the cases of bronchiolitis treated in a sample of Spanish hospitals belonging to four autonomous communities. A chi-square test and Student's t- test were used to compare epidemiological and demographic variables between patients attending the hospital with bronchiolitis during January 2021-June 2021 with patients attending the hospital in the previous three years (2018-2020). RESULTS: We analyzed 6,124 cases of bronchiolitis (58.8% males and 41.2% females). The mean age was 0.5 years (SD: 0.4). In 2020, we observed a decrease of bronchiolitis cases compared to 2019 of 67%. During 2020 and 2021, the epidemic season started in January-February and peaked in June. During the first half of 2021, the highest percentage of admissions for bronchiolitis associated with RSV infection was observed in hospitals in central Spain corresponding to the Autonomous Community of Madrid (78.5% of admissions). CONCLUSIONS: The COVID-19 pandemic significantly modifies the seasonality of bronchiolitis. In our country, the flow and distribution of the disease are not uniform. It starts in the center of Spain and ends on the coast.

OBJETIVO: La bronquiolitis es la primera causa de hospitalización en menores de un año, presentándose en forma de epidemias anuales. Desde el inicio de la pandemia por la enfermedad causada por el coronavirus SARS-CoV-2 (COVID-19) se ha producido un cambio en la transmisión de otros virus respiratorios. Nuestro objetivo en este trabajo fue describir cómo había afectado la pandemia de la COVID-19 a la distribución de la bronquiolitis aguda en nuestro país. METODOS: Realizamos un estudio descriptivo retrospectivo de los casos de bronquiolitis atendidos en una muestra de hospitales españoles que pertenecían a cuatro comunidades autónomas. Empleado el test chi-cuadrado y la prueba t de Student comparamos variables epidemiológicas y demográficas de los casos de bronquiolitis atendidos durante enero de 2021 y junio 2021, con los tres años anteriores (2018-2020). RESULTADOS: Analizamos 6.124 casos de bronquiolitis (58,8% varones y 41,2% mujeres). La media de edad fue de 0,5 años (DE: 0,4). En 2020 observamos un descenso de casos de bronquiolitis con respecto a 2019 del 67%. Durante 2020 y 2021 la temporada epidémica empezó en enero-febrero y alcanzó su pico máximo en junio. Durante el primer semestre de 2021, el porcentaje más elevado de ingresos por bronquiolitis asociados a infección VRS fue observado en hospitales del centro de España correspondientes a la Comunidad Autónoma de Madrid (78,5% de los ingresos). CONCLUSIONES: La pandemia por la COVID-19 modifica de manera significativa la estacionalidad de la bronquiolitis. En nuestro país, el flujo y distribución de la enfermedad no es uniforme, comenzado por el centro peninsular y, por último, la zona litoral.

Influencia de la pandemia dela COVID-19 en la distribución de la bronquiolitis aguda en España / Influence of the pandemic of COVID-19 in distribution of acute bronchiolitis in Spain

Fundamentos: La bronquiolitis es la primera causa de hospitalización en menores de un año, presentándose en forma de epidemias anuales. Desde el inicio de la pandemia por la enfermedad causada por el coronavirus SARS-CoV-2 (COVID-19) se ha producido un cambio en la transmisión de otros virus respiratorios. Nuestro objetivo en este trabajo fue describir cómo había afectado la pandemia de la COVID-19 a la distribución de la bronquiolitis aguda en nuestro país. Métodos: Realizamos un estudio descriptivo retrospectivo de los casos de bronquiolitis atendidos en una muestra de hospitales españoles que pertenecían a cuatro comunidades autónomas. Empleado el test chi-cuadrado y la pruebat de Student comparamos variables epidemiológicas y demográficas de los casos de bronquiolitis atendidos durante enero de 2021 y junio 2021, con los tres años anteriores (2018-2020). Resultados: Analizamos 6.124 casos de bronquiolitis (58,8% varones y 41,2% mujeres). La media de edad fue de 0,5 años (DE: 0,4). En 2020 observamos un descenso de casos de bronquiolitis con respecto a 2019 del 67%. Durante 2020 y 2021 la temporada epidémica empezó en enero-febrero y alcanzó su pico máximo en junio. Durante el primer semestre de 2021, el porcentaje más elevado de ingresos por bronquiolitis asociados a infección VRS fue observado en hospitales del centro de España correspondientes a la Comunidad Autónoma de Madrid (78,5% de los ingresos). Conclusiones: La pandemia por la COVID-19 modifica de manera significativa la estacionalidad de la bronquiolitis. En nuestro país, el flujo y distribución de la enfermedad no es uniforme, comenzado por el centro peninsular y, por último, la zona litoral.(AU)

Background: Bronchiolitis is the leading cause of hospitalization in children under one year of age, with annual epidemics. Sincethe onset of the SARS-CoV-2 coronavirus disease pandemic (COVID-19), there has been a change in the transmission of other respiratory viruses. Our aim in this paper was to describe how COVID-19 had affected the distribution of acute bronchiolitis in our country. Methods: We conducted a retrospective descriptive study of the cases of bronchiolitis treated in a sample of Spanish hospitals belonging to four autonomous communities. A chi-square test and Student’s t- test were used to compare epidemiological and demographicvariables between patients attending the hospital with bronchiolitis during January 2021-June 2021 with patients attending the hospital in the previous three years (2018-2020). Results: We analyzed 6,124 cases of bronchiolitis (58.8% males and 41.2% females). The mean age was 0.5 years (SD: 0.4). In 2020, weobserved a decrease of bronchiolitis cases compared to 2019 of 67%. During 2020 and 2021, the epidemic season started in January-February and peaked in June. During the first half of 2021, the highest percentage of admissions for bronchiolitis associated with RSVinfection was observed in hospitals in central Spain corresponding to the Autonomous Community of Madrid (78.5% of admissions).Conclusions: The COVID-19 pandemic significantly modifies the seasonality of bronchiolitis. In our country, the flow and distri-bution of the disease are not uniform. It starts in the center of Spain and ends on the coast.(AU)

Post-Pandemic Feeding Patterns and Mediterranean Diet Adherence in Spanish Toddlers.

During the last decade, feeding patterns, more specifically those of children, have worsened-affecting dietary habits and Mediterranean diet adherence. Here, we examine the post-pandemic feeding habits of Spanish toddlers. A total of 2465 parents of children aged between 12 and 36 months completed an online 25-item multiple-choice survey asking about dietary habits and Mediterranean diet adherence. Only 34 children (1.38%) had an adequate intake of all of the food groups included in the questionnaire. Adherence worsened as toddlers grew (p < 0.0001). Further, lower compliance was found in children with a higher intake of fast food (p < 0.001), those with siblings (p = 0.0045), and children who were the second or third child (p = 0.0005). The food group with the most commonly reported adequate intake was fish (88% of children), followed by pulses (80%), water (79%), and meat (78%). Cow's milk was the most commonly consumed dairy product among all age groups analyzed. Half of the children exhibited a low consumption of milk and dairy products. These results showed that a lack of adherence to a balanced diet is common among Spanish toddlers in the post-pandemic period and that greater parent education could improve the nutrition of toddlers.

Effects of public health measures during the SARS-CoV-2 pandemic on the winter respiratory syncytial virus epidemic: An interrupted time series analysis.

BACKGROUND: Public health measures (PHM) designed to contain the spread of COVID-19 pandemic have influenced the epidemiological characteristics of other viral infections. Its impact on acute RSV bronchiolitis in infants of ≤24 months old has not been systematically studied in our setting. OBJECTIVES: To describe the monthly pattern of visits to the Paediatric Emergency Department (PED) of patients 0 to 14 years of age, the rate of patients diagnosed with RSV acute bronchiolitis per thousand inhabitants of 0 to 24 months, and the rate of them requiring hospital admission during the winter 2020-2021, in the context of local and national COVID-19 restrictions and compare them to the four previous seasons. METHODS: Interrupted time series analysis of patients assisted in the PED and diagnosed with or admitted for RSV acute bronchiolitis in a tertiary University Hospital from January 2016 to February 2020 (pre-intervention period) and from March 2020 to June 2021 (post-intervention period). INTERVENTION: Preventive PHM implemented by the Spanish government weighted by the Containment and Health Index of the Oxford COVID-19 Government Response Tracker. RESULTS: The intervention was followed by an immediate reduction of the rate of visits to the PED of -19.5 (95% confidence interval [CI] -24.0, -14.9) per thousand, and the rate of diagnoses and admissions for RSV acute bronchiolitis of -44.3 (95% CI -73.8, -14.8) and -1.4 (95% CI -2.7, -0.1) per thousand, respectively, with a delayed rebound. CONCLUSIONS: After the implementation of PHM to prevent the spread of SARS-CoV-2 infection, an immediate and important decline in the visits to the PED was observed, with an upward change thereafter. There was also an initial reduction in the diagnoses of and admissions by RSV acute bronchiolitis. An upward trend was observed six to nine months after the usual time of the winter RSV epidemic, coinciding with the relaxation of the preventive PHM.

Taxonomía de los homicidios de mujeres en las relaciones de pareja / Taxonomy of homicides of women in intimate partner relationships

La prevención de la violencia contra la pareja supone un problema que ha suscitado gran interés a nivel internacional. El homicidio de pareja es el exponente más grave, aunque su prevalencia sea baja y su etiología compleja. Este trabajo revisa brevemente la descripción del problema desde la perspectiva de género y la existencia de asimetría, la perspectiva de la violencia y su descripción de factores de riesgo diferenciales y el modelo ecológico que relaciona variables personales, contextuales y comunitarias, presentando una propuesta más integradora. Se describen los estudios que analizan y comparan perfiles de homicidas, así como la situación en materia de evaluación del riesgo, todo ello con especial atención a las implicaciones para el contexto español. Por último, por su relevancia se discute la existencia de tipologías de homicidas y perfiles más próximos a patrones o dinámicas suicidas (en los homicidios diádicos y los familicidios). La información disponible pone de manifiesto la necesidad de ampliar el estudio de los homicidas de pareja y la dificultad de anticipar muchos de estos casos

Intimate partner violence prevention is a challenge that has received wide international interest. Homicide is the most serious result of this type of violence, although its prevalence is low and its etiology is complex. This paper briefly reviews the description of the problem from a gender perspective and the existence of asymmetry, the perspective of violence and its description of differential risk factors, and the ecological model that connects personal, contextual, and societal variables, presenting a more integrative proposal. Studies analyzing and comparing homicide profiles are described, as well as the state of the art regarding risk assessment, with special attention to the implications for the Spanish context. Finally, due to its relevance, the existence of typologies of homicides as well as profiles closer to suicidal patterns are discussed (in dyadic homicides and familicides). The available information highlights the need to expand the study of intimate partner homicides and the difficulty of anticipating many of these cases

Realidad penitenciaria en Colombia: la necesidad de una nueva política criminal / The reality of the penitentiary system in Colombia: the need to introduce a new criminal policy / Realidade penitenciária na Colômbia: a necessidade de uma nova política criminal

El hacinamiento carcelario, presente en la mayor parte de los países latinoamericanos, es un problema de gran calado social que genera el sufrimiento de miles de personas privadas de libertad. El lamentable estado de las infraestructuras penitenciarias y las condiciones deshumanizantes en las que transcurre el día a día de los internos comprometen la posición del Estado como garante de derechos fundamentales. Esta circunstancia ha trascendido a la opinión pública, de modo que se ha suscitado un debate -ya antiguo- sobre las políticas públicas desarrolladas en materia penal y penitenciaria. El presente trabajo tiene como objetivo principal aproximarse a la realidad del sistema penitenciario colombiano, con el fin de analizar, desde una perspectiva descriptiva y longitudinal, el fenómeno del hacinamiento carcelario para formular propuestas de mejora. Para tal fin se examinan fuentes de información secundarias provenientes de distintos ámbitos, como: fuentes estadísticas oficiales, disposiciones legales nacionales e internacionales, así como estudios de investigación elaborados por académicos e instituciones públicas. Los principales resultados ponen de relieve los efectos negativos que ha ocasionado la política criminal en el ámbito penitenciario y la necesidad urgente de una nueva orientación.

Overcrowding in prisons as a common condition in most Latin American countries is an extremely serious problem, since it causes unimaginable suff ering upon thousands of individuals deprived of freedom. The deplorable state of penitentiary infrastructures and the dehumanizing conditions that inmates have to endure every single day tend to compromise the position and reputation of the State as a true guarantor of fundamental rights. This circumstance has leaked to the public and helped trigger the -already old- debate about the state policies developed around criminal and prison matters. This work is mainly aimed at approaching the reality of the penitentiary system in Colombia by analyzing the prisonovercrowding phenomenon from a descriptive and longitudinal perspective, in order to put forward improvement proposals. For this purpose, secondary information sources from diff erent domains like official statistics and national and international provisions have been examined, as well as research studies prepared by academics and public institutions. Major results highlight the negative impacts and implications of the present criminal policy in the penitentiary environment, and the imperative need for new thinking along with a revised and well-planned orientation.

A superlotação das prisões, presente na maioria dos países da América Latina, é um problema de grande importância social que gera o sofrimento de milhares de detidos. O estado lamentável de infra-estrutura carcerária e as condições desumanas em que transcorre o dia dos internos comprometem a posição do Estado como garantidor dos direitos fundamentais. Esta circunstância transcendeu a opinião público, de modo que tem provocado discussão - já antigo - sobre as políticas públicas desenvolvidas em matéria penal e penitenciária. Este trabalho tem como principal objetivo aproximar a realidade do sistema penitenciário colombiano a fim de analisar, de uma perspectiva descritiva e longitudinal, o fenómeno da sobrelotação prisional para formular propostas de melhoria. Para este fim, fontes de informação secundária de diferentes áreas, tais como fontes estatísticas oficiais, as disposições legais nacionais e internacionais, assim como estudos da pesquisa elaborados pelos acadêmicos e instituições pública são discutidos. Os principais resultados destacam os efeitos negativos que causaram a política criminal nas prisões e a necessidade urgente de uma nova orientação.